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Jacob Delarosa, MD
Cardiovascular Disease Physician in Pocatello, Idaho
NPI 1083759880

Jacob Delarosa is a Cardiovascular Disease Physician based in Pocatello, ID and is specialized in Cardiovascular Disease. Jacob Delarosa practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Jacob Delarosa is 1083759880 and holds a License No. M9019 (Idaho).

The current practice location address for Jacob Delarosa is 651 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-239-1000. You can also correspond with Jacob Delarosa through the mailing address at 777 HOSPITAL WAY STE 215, POCATELLO, ID - 83201-5162 (mailing address contact number: 208-239-2580).

Location: 651 Memorial Dr, Pocatello, ID, 83201-5162
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Provider Profile Details
NPI Number
1083759880
Provider Name
Jacob Delarosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
651 Memorial Dr, Pocatello, ID, 83201-5162
Phone Number
208-239-1000
Fax Number
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M9019 01 ID STATE
institution
Provider Business Practice Location Address Details
Address
651 Memorial Dr
City
State
Zip
83201-4071
Phone Number
208-239-1000
Fax Number
person
Provider Business Mailing Address Details
Address
651 Memorial Dr
City
State
Zip
83201-4071
Phone Number
208-239-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
M9019 (Idaho)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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